5KD-22978-57124

4 vaccinations 13 coded responses 37 check-ins 12 free-text entries 7 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 273 / NC
Registered: 2021-01-24

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-23
Dose 1 — Pfizer-BioNTech
2021-01-24
Registered in v-safe
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches

Adult check-in
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-06
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-15
Dose 2 — Pfizer-BioNTech
2021-02-15
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-02-19
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Free text: Lots of joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-22
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-15
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Nausea, Rash — Feeling: Fair · Be unable to work

Free text: Nausea diarrhoea and a rash on my right hand and left-hand hand

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-17
Survey response — 3 months, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: On most chronic diarrhoea and Ive noticed changes to my skin around my eyes and cheekbones and on both legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call 1 — Left Voicemail
2021-08-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Dose 3 — Pfizer-BioNTech
Co-administered: Flu:Pneumonia:Shingles
2021-08-17
Health check-in — day 0, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-08-20
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Adult check-in
2021-08-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school

Adult check-in
2021-08-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school

Adult check-in
2021-08-24
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-08-24
Report sent to call center — day 7, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-30
Call successful
Completed over the phone
2021-08-30
Call successful
Completed over the phone
2021-08-30
Call successful
Completed over the phone
2021-08-31
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-09-07
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-09-14
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-09-24
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-09-30
Survey response — day 42, dose 3
MedDRA: Diarrhoea, Nausea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Nausea diarrhoea

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-04
Call 1 — Left Voicemail
2021-11-16
Survey response — 3 months, dose 3
MedDRA: Nephrolithiasis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Kidney stone

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-17
Call 1 — Left Voicemail
2022-02-15
Survey response — 6 months, dose 3
MedDRA: Hepatic enzyme abnormal, Pancreatic enzymes abnormal, Thyroid disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Liver levels pancreatic enzyme levels and a complete switch of thyroid levels

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Dose 4 — Pfizer-BioNTech
Co-administered: Other
2022-04-14
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-21
Survey response — day 21, dose 4
MedDRA: Injection site pain — Feeling: Fair

Free text: Pain in the injection site

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-05
Survey response — day 35, dose 4
MedDRA: Cardiovascular symptom, Emergency care — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: I had to be taken to the ER yesterday with what could've turned into a heart attack I was able to get treatment early and dismissed but I still had to go back to the doctor today and next week I'm sure it doesn't have anything to do with the vaccine · Healthcare visit (other): I almost had a heart attack yesterday I was at one doctor and he actually put me in his car and took me directly to the ER

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Report sent to call center — day 35, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-05-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-12
Survey response — day 42, dose 4
MedDRA: Bladder disorder, Bladder mass, Prostatic disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Oddly shaped the bladder, a mass in my bladder, and prostate trouble

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-01
Survey response — 12 months, dose 4
MedDRA: Cerebrovascular accident, Hospitalisation, Impaired healing — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

MedDRA releases: 2024-11
2023-04-01
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Hospitalization · no matching call case

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Pfizer-BioNTech
2	2021-02-15	Pfizer-BioNTech
3	2021-08-17	Pfizer-BioNTech	Flu:Pneumonia:Shingles
4	2022-03-31	Pfizer-BioNTech	Other

Call center

7 call center cases

7 successful

VAERS report filed, before or during a call: 3

1 check-in flagged for a call with no call center case on record

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): No

2021-01-25

Systemic reaction (other): No

Release 4 — day 0, dose 2

2021-02-15

Systemic reaction (other): No

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Lots of joint pain

Release 5 — day 28, dose 2

2021-03-15

Symptoms: Nausea diarrhoea and a rash on my right hand and left-hand hand

Release 8 — 3 months, dose 2

2021-05-17

Symptoms: On most chronic diarrhoea and Ive noticed changes to my skin around my eyes and cheekbones and on both legs

Release 9 — day 42, dose 3

2021-09-30

Symptoms: Nausea diarrhoea

Release 10 — 3 months, dose 3

2021-11-16

Symptoms: Kidney stone

Release 11 — 6 months, dose 3

2022-02-15

Symptoms: Liver levels pancreatic enzyme levels and a complete switch of thyroid levels

Release 11 — day 21, dose 4

2022-04-21

Symptoms: Pain in the injection site

Release 11 — day 35, dose 4

2022-05-05

Symptoms: I had to be taken to the ER yesterday with what could've turned into a heart attack I was able to get treatment early and dismissed but I still had to go back to the doctor today and next week I'm sure it doesn't have anything to do with the vaccine cut off by CDC

Healthcare visit (other): I almost had a heart attack yesterday I was at one doctor and he actually put me in his car and took me directly to the ER

Release 11 — day 42, dose 4

2022-05-12

Symptoms: Oddly shaped the bladder, a mass in my bladder, and prostate trouble

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Cardiovascular symptom	·	·	✓
HCVO	Emergency care	·	·	✓
SD	Bladder disorder	·	·	✓
SD	Bladder mass	·	·	✓
SD	Cardiovascular symptom	·	·	✓
SD	Cerebrovascular accident	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Hepatic enzyme abnormal	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Impaired healing	·	·	✓
SD	Injection site pain	·	·	✓
SD	Nausea	✓	✓	✓
SD	Nephrolithiasis	·	·	✓
SD	Pancreatic enzymes abnormal	·	·	✓
SD	Prostatic disorder	·	·	✓
SD	Rash	✓	✓	✓
SD	Thyroid disorder	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	No adverse event	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release